US20140309557A1 - Biological Fluid Sampling Transfer Device and Biological Fluid Separation and Testing System - Google Patents
Biological Fluid Sampling Transfer Device and Biological Fluid Separation and Testing System Download PDFInfo
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- US20140309557A1 US20140309557A1 US14/251,693 US201414251693A US2014309557A1 US 20140309557 A1 US20140309557 A1 US 20140309557A1 US 201414251693 A US201414251693 A US 201414251693A US 2014309557 A1 US2014309557 A1 US 2014309557A1
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Definitions
- the present disclosure relates generally to devices, assemblies, and systems adapted for use with capillary access devices. More particularly, the present disclosure relates to devices, assemblies, and systems adapted for collecting biological samples for use in point-of-care testing.
- Blood sampling is a common health care procedure involving the withdrawal of at least a drop of blood from a patient.
- Blood samples are commonly taken from hospitalized, homecare, and emergency room patients either by finger stick, heel stick, or venipuncture. Blood samples may also be taken from patients by venous or arterial lines. Once collected, blood samples may be analyzed to obtain medically useful information including chemical composition, hematology, or coagulation, for example.
- Blood tests determine the physiological and biochemical states of the patient, such as disease, mineral content, drug effectiveness, and organ function. Blood tests may be performed in a clinical laboratory or at the point-of-care near the patient.
- One example of point-of-care blood testing is the routine testing of a patient's blood glucose levels which involves the extraction of blood via a finger stick and the mechanical collection of blood into a diagnostic cartridge. Thereafter, the diagnostic cartridge analyzes the blood sample and provides the clinician a reading of the patient's blood glucose level.
- Other devices are available which analyze blood gas electrolyte levels, lithium levels, and ionized calcium levels. Some other point-of-care devices identify markers for acute coronary syndrome (ACS) and deep vein thrombosis/pulmonary embolism (DVT/PE).
- ACS acute coronary syndrome
- DVD/PE deep vein thrombosis/pulmonary embolism
- Blood samples are frequently drawn using hypodermic needles or vacuum tubes attached to a proximal end of a needle or a catheter assembly.
- clinicians collect blood from a catheter assembly using a needle and syringe that is inserted into the catheter to withdraw blood from a patient through the inserted catheter.
- needles and vacuum tubes as intermediate devices from which the collected blood sample is typically withdrawn prior to testing.
- Point-of-care testing devices allow for a blood sample to be tested without needing to send the blood sample to a lab for analysis. Thus, it is desirable to create a device that provides an easy, safe, reproducible, and accurate process with a point-of-care testing system.
- the present disclosure provides a biological fluid separation and testing system, such as a blood separation and testing system, for a blood sample.
- the biological fluid separation and testing system includes a biological fluid sampling transfer device, such as a blood sampling transfer device, adapted to receive a blood sample, a blood separation device, and a blood testing device.
- the blood separation device is adapted to receive a portion of the blood sampling transfer device such that with the blood sampling transfer device received within the blood separation device and a rotational force applied to the blood sampling transfer device, a plasma portion of the blood sample is separated from a cellular portion of the blood sample.
- the blood testing device is adapted to receive a portion of the blood sampling transfer device to analyze the plasma portion of the blood sample and obtain test results.
- the blood sampling transfer device and the blood separation and testing system of the present disclosure are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to a point-of-care testing device.
- the clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube.
- the blood sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
- a biological fluid sampling transfer device in accordance with an embodiment of the present invention, includes a housing having a resiliently deformable upper portion, a lower portion removably connectable to the upper portion, the lower portion having an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel.
- the upper portion is transitionable between an undeformed position and a deformed position.
- the device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing.
- the blood sampling transfer device is adapted to receive a multi-component blood sample.
- the multi-component blood sample may include a first cellular component and a second plasma component.
- the flow channel may be adapted to receive the blood sample via the inlet port.
- the device also includes an adhesive disposed on an outside surface of the lower portion.
- the device may also include a check valve in the upper portion.
- a biological fluid sampling transfer device adapted to receive a multi-component blood sample includes a housing having a resiliently deformable upper portion and a lower portion removably connectable to the upper portion.
- the lower portion includes an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel.
- the flow channel is adapted to receive the blood sample via the inlet port, and the upper portion is transitionable between an undeformed position and a deformed position.
- the device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing. Actuation of the upper portion from the undeformed position to the deformed position moves the lancet from the pre-actuated position to the puncturing position. After the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the lancet returns to the pre-actuated position.
- the lower portion is removable from the upper portion.
- the device may also include an adhesive disposed on an outside surface of the lower portion.
- the device may also include a check valve in the upper portion.
- a biological fluid separation and testing system for a multi-component blood sample includes a blood sampling transfer device adapted to receive the blood sample.
- the blood sampling transfer device includes a housing having a resiliently deformable upper portion, and a lower portion removably connectable to the upper portion.
- the lower portion includes an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel.
- the flow channel is adapted to receive the blood sample via the inlet port, and the upper portion is transitionable between an undeformed position and a deformed position.
- the device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing. Actuation of the upper portion from the undeformed position to the deformed position moves the lancet from the pre-actuated position to the puncturing position. After the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the puncturing element returns to the pre-actuated position.
- the system also includes a blood testing device having a receiving port adapted to receive the outlet port of the lower portion of the housing of the blood sampling transfer device for closed transfer of a portion of the blood sample from the blood sampling transfer device to the blood testing device via the outlet port.
- the blood testing device may be a point-of-care testing device.
- actuation of the upper portion from the undeformed position to the deformed position transfers the blood sample from the blood sampling transfer device to the blood testing device via the outlet port.
- the lower portion is removable from the upper portion.
- the system also includes a blood separation device, and when the lower portion is removed from the upper portion, the lower portion is receivable within the blood separation device. When the lower portion is received within the blood separation device, the blood sample contained within the lower portion is separated.
- a portion of the housing includes a sample stabilizer.
- FIG. 1 is an exploded, perspective view of a biological fluid sampling transfer device in accordance with an embodiment of the present invention.
- FIG. 2 is an assembled, perspective view of a biological fluid sampling transfer device in accordance with an embodiment of the present invention.
- FIG. 3 is a perspective view of a biological fluid sampling transfer device secured to a patient with a housing in an undeformed position in accordance with an embodiment of the present invention.
- FIG. 4 is a perspective view of a biological fluid sampling transfer device secured to a patient with a housing in a deformed position in accordance with an embodiment of the present invention.
- FIG. 5 is a cross-sectional view of the biological fluid sampling transfer device of FIG. 4 in accordance with an embodiment of the present invention.
- FIG. 6 is a cross-sectional view of the biological fluid sampling transfer device of FIG. 3 with a blood sample received within the biological fluid sampling transfer device in accordance with an embodiment of the present invention.
- FIG. 7 is a cross-sectional view of the biological fluid sampling transfer device of FIG. 6 in accordance with an embodiment of the present invention, with an upper portion of the housing removed from a lower portion of the biological fluid sampling transfer device.
- FIG. 8 is a perspective view of a biological fluid separation system in accordance with an embodiment of the present invention.
- FIG. 9 is a cross-sectional view of a lower portion of the biological fluid sampling transfer device of FIG. 8 in accordance with an embodiment of the present invention.
- FIG. 10 is a perspective view of a lower portion of the biological fluid sampling transfer device and a point-of-care testing device in accordance with an embodiment of the present invention.
- FIG. 11 is a cross-sectional view of a valve of a biological fluid sampling transfer device in accordance with an embodiment of the present invention, with the valve in a closed position.
- FIG. 12 is a cross-sectional view of a valve of a biological fluid sampling transfer device in accordance with an embodiment of the present invention, with the valve in an open position.
- Point-of-care testing devices include test strips, glass slides, diagnostic cartridges, or other testing devices for testing and analysis.
- Test strips, glass slides, and diagnostic cartridges are point-of-care testing devices that receive a blood sample and test that blood for one or more physiological and biochemical states.
- Testing cartridges such as the i-STAT® cartridges may be used to test for a variety of conditions including the presence of chemicals and electrolytes, hematology, blood gas concentrations, coagulation, or cardiac markers. The results of tests using such cartridges are quickly provided to the clinician.
- a system of the present disclosure enhances the reliability of the point-of-care testing device by: 1) incorporating a more closed type of sampling and transfer system; 2) minimizing open exposure of the sample; 3) improving sample quality; 4) improving the overall ease of use; and 5) separating the sample at the point of collection.
- FIGS. 1-7 illustrate an exemplary embodiment of the present disclosure.
- the biological fluid sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
- a biological fluid sampling transfer device 10 such as a blood sampling transfer device, of the present disclosure is adapted to receive a blood sample 12 ( FIGS. 6 , 7 , and 9 ) having a cellular portion 14 and a plasma portion 16 .
- FIGS. 8-10 illustrate an exemplary embodiment of the present disclosure.
- a biological fluid separation and testing system 20 such as a blood separation and testing system, of the present disclosure for a blood sample 12 includes a blood sampling transfer device 10 adapted to receive a blood sample 12 , a blood separation device or centrifuge 22 , and a blood testing device or point-of-care testing device 24 .
- the centrifuge 22 is adapted to receive a portion of the blood sampling transfer device 10 such that with the blood sampling transfer device 10 received within the centrifuge 22 and a rotational force applied to the blood sampling transfer device 10 , a plasma portion 16 of the blood sample 12 is separated from a cellular portion 14 of the blood sample 12 .
- the blood testing device 24 is adapted to receive a portion of the blood sampling transfer device 10 to analyze the plasma portion 16 of the blood sample 12 and obtain test results.
- the blood sampling transfer device and the blood separation and testing system of the present disclosure are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to the point-of-care testing device 24 .
- the clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device 24 without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device 24 without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube.
- the blood sampling transfer device 10 of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
- the blood sampling transfer device 10 generally includes a housing 30 having an upper portion 32 and a lower portion 34 removably connectable to the upper portion 32 . With the lower portion 34 connected to the upper portion 32 , significant relative movement between the upper portion 32 and the lower portion 34 is prevented.
- the housing 30 defines a central aperture 35 therethrough the upper portion 32 and the lower portion 34 .
- a lancet structure or lancet device 60 is positioned within the central aperture 35 as shown in FIGS. 1-6 .
- the housing 30 includes a lancet engagement portion 39 for securing the lancet structure 60 within the central aperture 35 as shown in FIGS. 5 and 6 .
- the upper portion 32 includes a dome-shaped surface 36 and the lower portion 34 includes a bottom surface 38 .
- the bottom surface 38 includes an adhesive 54 so that the blood sampling transfer device 10 can be secured onto a skin surface S of a patient where a blood sample will be accessed.
- the adhesive 54 of the bottom surface 38 is protected by a peel-off layer, similar to an adhesive bandage, which would be removed before placing the blood sampling transfer device 10 on the skin surface S of the patient's body.
- a hydrogel or other layer could be included to provide some thickness to the bottom surface 38 of the lower portion 34 and help improve the stability of the adhesive seal.
- the adhesive 54 could include a chemistry to create a more liquid-tight seal, similar to painter's tape technology, where wetting from the paint itself causes a chemical reaction with the adhesive 54 to create a more water-tight barrier to prevent the paint from seeping under the tape.
- the upper portion 32 is a resiliently deformable member that is transitionable between an undeformed position ( FIGS. 3 and 6 ) and a deformed position ( FIGS. 4 and 5 ) as will be discussed in more detail below.
- the upper portion 32 is formed of a flexible material such that the upper portion 32 can be depressed by pressure applied by a user. After the pressure is removed, the upper portion 32 returns to its original or undeformed position and its domed-shape.
- the upper portion 32 of the housing 30 includes a vent or check valve 52 to allow air to be expelled upon depression of the dome-shaped upper portion 32 .
- the lower portion 34 of the housing 30 of the blood sampling transfer device 10 generally includes an inlet port 40 defined through the bottom surface 38 of the lower portion 34 , an entry reservoir 42 in fluid communication with the inlet port 40 , a flow channel or mixing channel 44 in fluid communication with the entry reservoir 42 , an exit reservoir 46 in fluid communication with the flow channel 44 , an exit port or outlet port 48 in fluid communication with the exit reservoir 46 , a valve 50 ( FIGS. 11 and 12 ) disposed in communication with the exit port 48 , a venting portion 51 , and a button portion 53 .
- the plasma portion 16 contained within the exit reservoir 46 of the lower portion 34 can be transferred through the valve 50 to the point-of-care testing device 24 by pressing the button portion 53 of the lower portion 34 as discussed below.
- the lower portion 34 of the housing 30 of the blood sampling transfer device 10 is adapted to contain a sample stabilizer to provide passive and fast mixing of a blood sample with the sample stabilizer.
- the sample stabilizer can be an anticoagulant, or a substance designed to preserve a specific element within the blood such as, for example, RNA, protein analyte, or other element.
- the sample stabilizer is provided within the flow channel 44 .
- the sample stabilizer is provided in other areas of the lower portion 34 of the housing 30 of the blood sampling transfer device 10 such as the entry reservoir 42 .
- the flow channel 44 comprises a serpentine shape to promote efficient mixing of a blood sample 12 ( FIGS. 6 , 7 , and 9 ) having a cellular portion 14 and a plasma portion 16 .
- a blood separation device 22 provides a rotational force applied to the lower portion 34 of the housing 30 to separate the plasma portion 16 from the cellular portion 14 through the flow channel 44 .
- the flow channel 44 comprises other shapes to promote efficient mixing of a blood sample.
- the valve 50 is transitionable between a closed position ( FIG. 11 ) to seal a plasma portion 16 of the blood sample 12 within the exit reservoir 46 of the lower portion 34 of the housing 30 and an open position ( FIG. 12 ) to allow a plasma portion 16 to flow through the exit port 48 to a point-of-care testing device 24 as shown in FIG. 10 .
- the exit port or outlet port 48 of the lower portion 34 of the housing 30 of the blood sampling transfer device 10 may include a valve 50 that is transitionable between a closed position and an open position. With the valve 50 in an open position, the plasma portion 16 of the blood sample 12 may flow through the outlet port 48 to a blood testing device or a point-of-care testing device 24 ( FIG. 10 ).
- the valve 50 may generally include a transfer channel 90 , a bellows or deformable wall member 92 , and a septum or barrier 94 having a first barrier wall 96 and a second barrier wall 98 .
- the valve 50 is in a closed position to prevent the plasma portion 16 of the blood sample 12 from flowing through the outlet port 48 . In this manner, the plasma portion 16 is sealed within the lower portion 34 of the housing 30 of the blood sampling transfer device 10 .
- the valve 50 is in an open position so that the plasma portion 16 of the blood sample 12 may flow through the outlet port 48 to a blood testing device or a point-of-care testing device 24 ( FIG. 10 ).
- the outlet port 48 of the lower portion 34 of the blood sampling transfer device 10 is then positioned over a receiving port 26 of the point-of-care testing device 24 .
- Pushing down in the direction of arrow B compresses the deformable wall member 92 and opens up the first barrier wall 96 and the second barrier wall 98 of the septum 94 as shown in FIG. 12 .
- the valve 50 With the valve 50 in the open position, the plasma portion 16 of the blood sample 12 is allowed to flow through the receiving port 26 to the point-of-care testing device 24 in a closed manner reducing exposure to the clinician and the patient.
- the valve 50 of the blood sampling transfer device 10 only opens when the outlet port 48 is pressed upon the receiving port 26 of the point-of-care testing device 24 . This releases the isolated plasma portion 16 directly into the receiving port 26 of the point-of-care testing device 24 , thus mitigating unnecessary exposure to the patient's blood.
- the blood sampling transfer device 10 also includes a lancet or lancet structure 60 that may be secured within the central aperture 35 of the housing 30 .
- the lancet 60 generally includes a first end 100 , a second end 102 , a top or handle portion 104 adjacent the first end 100 , a bottom or lancet portion 106 adjacent the second end 102 , and a housing engagement portion 108 .
- the housing engagement portion 108 engages the lancet engagement portion 39 of the housing for securing the lancet 60 to the housing 30 within central aperture 35 as shown in FIGS. 5 and 6 .
- a portion of the lancet 60 is disposed within the housing 30 of the blood sampling transfer device 10 .
- the lancet portion 106 includes a puncturing element 110 having a puncturing end 112 .
- the puncturing end 112 is adapted for puncturing the skin surface S of a patient ( FIG. 5 ), and may define a pointed end, a blade edge, or a similar cutting mechanism.
- the puncturing end 112 may include a preferred alignment orientation, such as with a pointed end of a blade aligned in a specific orientation.
- the lancet 60 is adapted for movement between a pre-actuated position ( FIGS. 3 and 6 ) wherein the puncturing element 110 including the puncturing end 112 is retained within the housing 30 and a puncturing position ( FIGS. 4 and 5 ) wherein the puncturing end 112 of the puncturing element 110 extends through the inlet port 40 of the housing 30 to puncture a skin surface S of a patient to draw a blood sample as discussed in more detail below.
- the housing 30 of the blood sampling device 10 may include a self-sealing dock that would allow an external lancet to be removably received within the housing 30 .
- the external lancet could be either pre-integrated into the packaged device or introduced separately by a user before using the blood sampling transfer device 10 of the present disclosure.
- a blood separation device or centrifuge 22 of the present disclosure generally includes a receiving port 120 adapted to receive the lower portion 34 of the blood sampling transfer device 10 such that with the lower portion 34 received within the centrifuge 22 and a rotational force applied to the lower portion 34 , a plasma portion 16 of the blood sample 12 is separated from a cellular portion 14 of the blood sample 12 ( FIG. 9 ).
- the centrifuge 22 includes a receiving port 120 adapted to receive the lower portion 34 of the blood sampling transfer device 10 , a base or bottom portion 122 , a top portion 124 movably connected to the base portion 122 by a hinged portion 126 , and a rotational force element 128 contained within the base portion 122 .
- the top portion 124 is transitionable between an open position in which the lower portion 34 of the blood sampling transfer device 10 can be placed within the receiving port 120 as shown in FIG. 8 and a closed position. With the lower portion 34 of the blood sampling transfer device 10 received within the centrifuge 22 , a rotational force is applied to the lower portion 34 of the blood sampling transfer device 10 to separate the plasma portion 16 from the cellular portion 14 as described in more detail below.
- a blood testing device or point-of-care testing device 24 includes a receiving port 26 for receiving the outlet port 48 of the lower portion 34 of the housing 30 of the blood sampling transfer device 10 .
- the blood testing device 24 is adapted to receive the lower portion 34 of the housing 30 to analyze the blood sample and obtain test results.
- the receiving port 26 of the point-of-care testing device 24 allows for the closed transfer of a blood sample from the lower portion 34 of the housing 30 to the point-of-care testing device 24 .
- FIGS. 1-10 use of a blood sampling transfer device of the present disclosure will now be described.
- a clinician can adhere the adhesive 54 on the bottom surface 38 of the lower portion 34 of the housing 30 onto a skin surface S of a patient where a blood sample will be accessed over a selected sampling site.
- a user or an operator may then apply pressure to the dome-shaped surface 36 of the upper portion 32 of the housing 30 to actuate the upper portion 32 from the undeformed position ( FIGS. 3 and 6 ) to the deformed position ( FIGS. 4 and 5 ).
- Actuation of the upper portion 32 from the undeformed position ( FIGS. 3 and 6 ) to the deformed position ( FIGS. 4 and 5 ) moves the lancet 60 from the pre-actuation position ( FIGS. 3 and 6 ) to the puncturing position ( FIGS. 4 and 5 ) thereby causing the lancing of the skin surface S of the patient by the puncturing end 112 of the lancet 60 as shown in FIG. 5 .
- the puncturing end 112 of the lancet 60 cuts into the skin surface S of the patient's body and capillary blood begins to flow into the inlet port 40 of the housing 30 .
- the domed shape of the upper portion 32 begins to relax and returns to its original shape or undeformed position. This return of the upper portion 32 to its undeformed position creates a gentle vacuum during the process that helps to draw out the capillary blood through the inlet port 40 and to the entry reservoir 42 of the lower portion 34 of the housing 30 .
- the clinician can remove the lower portion 34 of the housing 30 from the upper portion 32 as shown in FIG. 7 .
- the entry reservoir 42 and the flow channel 44 of the lower portion 34 is sealed from the external environment.
- the puncturing end 112 of the lancet 60 is contained within the upper portion 32 to shield the puncturing end 112 .
- the next step of the process involves manual insertion of the lower portion 34 into a blood separation device or centrifuge 22 designed specifically for the lower portion 34 of the housing 30 .
- the centrifuge 22 is designed to facilitate plasma separation by centrifugal force and to drive a blood sample through the mixing channel 44 of the lower portion 34 .
- the blood sample 12 contained within the lower portion 34 is quickly spun in the centrifuge 22 and due to the low volume is separated through the mixing channel 44 of the lower portion 34 within a few seconds such that the plasma portion 16 is collected within the exit reservoir 46 of the lower portion 34 .
- the lower portion 34 is removed manually from the centrifuge device 22 .
- the collected plasma portion 16 of the blood sample 12 within the exit reservoir 46 of the lower portion 34 of the blood sampling transfer device 10 is transferred to the receiving port 26 of the point-of-care testing device 24 to analyze the collected plasma portion 16 and obtain test results for tests such as glucose, cholesterol, or other blood sample results.
- the receiving port 26 of the point-of-care testing device 24 allows for the closed transfer of a portion of the plasma portion 16 of the blood sample 12 from the lower portion 34 to the point-of-care testing device 24 .
- the plasma portion 16 of the blood sample 12 within the exit reservoir 46 of the lower portion 34 is dispensed through the valve 50 of the exit port 48 of the lower portion 34 into a well or receiving port 26 of the point-of-care testing device 24 to perform the desired test.
- the plasma portion 16 is transferred through the valve 50 to the point-of-care testing device 24 by pressing the button portion 53 of the lower portion 34 .
- the lower portion 34 can be connected to the upper portion 32 and actuation of the upper portion 32 from the undeformed position to the deformed position transfers the plasma portion 16 of the blood sample 12 from the lower portion 34 of the blood sampling transfer device 10 to the blood testing device 24 via the outlet port 48 .
- the entry reservoir 42 and/or flow channel 44 of the lower portion 34 of the housing 30 contains the sample stabilizer to promote efficient mixing with the blood sample. Referring to FIG. 5 , upon actuation of the lancet 60 to puncture the skin surface S, no or minimal blood will seep between the stick site and the housing 30 of the blood sampling transfer device 10 , and, importantly, any seeped blood will not subsequently enter the blood sampling transfer device 10 .
- the blood sampling transfer device and the blood separation and testing system of the present disclosure are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to the point-of-care testing device 24 .
- the clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device 24 without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device 24 without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube.
- the blood sampling transfer device 10 of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
Abstract
A blood separation and testing system for a blood sample is disclosed. The blood separation and testing system includes a blood sampling transfer device adapted to receive a blood sample, a blood separation device, and a blood testing device. The blood separation device is adapted to receive a portion of the blood sampling transfer device such that with the blood sampling transfer device received within the blood separation device and a rotational force applied to the blood sampling transfer device, a plasma portion of the blood sample is separated from a cellular portion of the blood sample. The blood testing device is adapted to receive a portion of the blood sampling transfer device to analyze the plasma portion of the blood sample and obtain test results.
Description
- The present application claims priority to U.S. Provisional Application No. 61/811,918, filed Apr. 15, 2013, entitled “Medical Device for Collection of a Biological Sample”, the entire disclosure of which is hereby incorporated by reference in its entirety.
- 1. Field of the Disclosure
- The present disclosure relates generally to devices, assemblies, and systems adapted for use with capillary access devices. More particularly, the present disclosure relates to devices, assemblies, and systems adapted for collecting biological samples for use in point-of-care testing.
- 2. Description of the Related Art
- Blood sampling is a common health care procedure involving the withdrawal of at least a drop of blood from a patient. Blood samples are commonly taken from hospitalized, homecare, and emergency room patients either by finger stick, heel stick, or venipuncture. Blood samples may also be taken from patients by venous or arterial lines. Once collected, blood samples may be analyzed to obtain medically useful information including chemical composition, hematology, or coagulation, for example.
- Blood tests determine the physiological and biochemical states of the patient, such as disease, mineral content, drug effectiveness, and organ function. Blood tests may be performed in a clinical laboratory or at the point-of-care near the patient. One example of point-of-care blood testing is the routine testing of a patient's blood glucose levels which involves the extraction of blood via a finger stick and the mechanical collection of blood into a diagnostic cartridge. Thereafter, the diagnostic cartridge analyzes the blood sample and provides the clinician a reading of the patient's blood glucose level. Other devices are available which analyze blood gas electrolyte levels, lithium levels, and ionized calcium levels. Some other point-of-care devices identify markers for acute coronary syndrome (ACS) and deep vein thrombosis/pulmonary embolism (DVT/PE).
- Despite the rapid advancement in point-of-care testing and diagnostics, blood sampling techniques have remained relatively unchanged. Blood samples are frequently drawn using hypodermic needles or vacuum tubes attached to a proximal end of a needle or a catheter assembly. In some instances, clinicians collect blood from a catheter assembly using a needle and syringe that is inserted into the catheter to withdraw blood from a patient through the inserted catheter. These procedures utilize needles and vacuum tubes as intermediate devices from which the collected blood sample is typically withdrawn prior to testing. These processes are thus device intensive, utilizing multiple devices in the process of obtaining, preparing, and testing blood samples. Each additional device increases the time and cost of the testing process.
- Point-of-care testing devices allow for a blood sample to be tested without needing to send the blood sample to a lab for analysis. Thus, it is desirable to create a device that provides an easy, safe, reproducible, and accurate process with a point-of-care testing system.
- The present disclosure provides a biological fluid separation and testing system, such as a blood separation and testing system, for a blood sample. The biological fluid separation and testing system includes a biological fluid sampling transfer device, such as a blood sampling transfer device, adapted to receive a blood sample, a blood separation device, and a blood testing device. The blood separation device is adapted to receive a portion of the blood sampling transfer device such that with the blood sampling transfer device received within the blood separation device and a rotational force applied to the blood sampling transfer device, a plasma portion of the blood sample is separated from a cellular portion of the blood sample. The blood testing device is adapted to receive a portion of the blood sampling transfer device to analyze the plasma portion of the blood sample and obtain test results.
- Some of the advantages of the blood sampling transfer device and the blood separation and testing system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to a point-of-care testing device. The clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube. Also, the blood sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation.
- In accordance with an embodiment of the present invention, a biological fluid sampling transfer device includes a housing having a resiliently deformable upper portion, a lower portion removably connectable to the upper portion, the lower portion having an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel. The upper portion is transitionable between an undeformed position and a deformed position. The device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing.
- In certain configurations, the blood sampling transfer device is adapted to receive a multi-component blood sample. The multi-component blood sample may include a first cellular component and a second plasma component. The flow channel may be adapted to receive the blood sample via the inlet port.
- In other configurations, actuation of the upper portion from the undeformed position to the deformed position moves the puncturing element from a pre-actuated position to a puncturing position. After the puncturing element moves to the puncturing position, the upper portion returns to its undeformed position and returns the puncturing element to the pre-actuated position. With the blood sample received within the flow channel, the lower portion is removable from the upper portion. In certain configurations, the device also includes an adhesive disposed on an outside surface of the lower portion. The device may also include a check valve in the upper portion.
- In accordance with another embodiment of the present invention, a biological fluid sampling transfer device adapted to receive a multi-component blood sample includes a housing having a resiliently deformable upper portion and a lower portion removably connectable to the upper portion. The lower portion includes an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel. The flow channel is adapted to receive the blood sample via the inlet port, and the upper portion is transitionable between an undeformed position and a deformed position. The device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing. Actuation of the upper portion from the undeformed position to the deformed position moves the lancet from the pre-actuated position to the puncturing position. After the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the lancet returns to the pre-actuated position.
- In certain configurations, with the blood sample received within the flow channel, the lower portion is removable from the upper portion. Optionally, the device may also include an adhesive disposed on an outside surface of the lower portion. The device may also include a check valve in the upper portion.
- In accordance with yet another embodiment of the present invention, a biological fluid separation and testing system for a multi-component blood sample includes a blood sampling transfer device adapted to receive the blood sample. The blood sampling transfer device includes a housing having a resiliently deformable upper portion, and a lower portion removably connectable to the upper portion. The lower portion includes an inlet port, an outlet port, and a flow channel, with the inlet port and the outlet port in fluid communication via the flow channel. The flow channel is adapted to receive the blood sample via the inlet port, and the upper portion is transitionable between an undeformed position and a deformed position. The device also includes a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing. Actuation of the upper portion from the undeformed position to the deformed position moves the lancet from the pre-actuated position to the puncturing position. After the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the puncturing element returns to the pre-actuated position. The system also includes a blood testing device having a receiving port adapted to receive the outlet port of the lower portion of the housing of the blood sampling transfer device for closed transfer of a portion of the blood sample from the blood sampling transfer device to the blood testing device via the outlet port.
- In certain configurations, the blood testing device may be a point-of-care testing device. When the blood sampling transfer device is received within the receiving port of the blood testing device, actuation of the upper portion from the undeformed position to the deformed position transfers the blood sample from the blood sampling transfer device to the blood testing device via the outlet port. When the blood sample is received within the flow channel, the lower portion is removable from the upper portion.
- In other configurations, the system also includes a blood separation device, and when the lower portion is removed from the upper portion, the lower portion is receivable within the blood separation device. When the lower portion is received within the blood separation device, the blood sample contained within the lower portion is separated. Optionally, a portion of the housing includes a sample stabilizer.
- The above-mentioned and other features and advantages of this disclosure, and the manner of attaining them, will become more apparent and the disclosure itself will be better understood by reference to the following descriptions of embodiments of the disclosure taken in conjunction with the accompanying drawings, wherein:
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FIG. 1 is an exploded, perspective view of a biological fluid sampling transfer device in accordance with an embodiment of the present invention. -
FIG. 2 is an assembled, perspective view of a biological fluid sampling transfer device in accordance with an embodiment of the present invention. -
FIG. 3 is a perspective view of a biological fluid sampling transfer device secured to a patient with a housing in an undeformed position in accordance with an embodiment of the present invention. -
FIG. 4 is a perspective view of a biological fluid sampling transfer device secured to a patient with a housing in a deformed position in accordance with an embodiment of the present invention. -
FIG. 5 is a cross-sectional view of the biological fluid sampling transfer device ofFIG. 4 in accordance with an embodiment of the present invention. -
FIG. 6 is a cross-sectional view of the biological fluid sampling transfer device ofFIG. 3 with a blood sample received within the biological fluid sampling transfer device in accordance with an embodiment of the present invention. -
FIG. 7 is a cross-sectional view of the biological fluid sampling transfer device ofFIG. 6 in accordance with an embodiment of the present invention, with an upper portion of the housing removed from a lower portion of the biological fluid sampling transfer device. -
FIG. 8 is a perspective view of a biological fluid separation system in accordance with an embodiment of the present invention. -
FIG. 9 is a cross-sectional view of a lower portion of the biological fluid sampling transfer device ofFIG. 8 in accordance with an embodiment of the present invention. -
FIG. 10 is a perspective view of a lower portion of the biological fluid sampling transfer device and a point-of-care testing device in accordance with an embodiment of the present invention. -
FIG. 11 is a cross-sectional view of a valve of a biological fluid sampling transfer device in accordance with an embodiment of the present invention, with the valve in a closed position. -
FIG. 12 is a cross-sectional view of a valve of a biological fluid sampling transfer device in accordance with an embodiment of the present invention, with the valve in an open position. - Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications set out herein illustrate exemplary embodiments of the disclosure, and such exemplifications are not to be construed as limiting the scope of the disclosure in any manner.
- The following description is provided to enable those skilled in the art to make and use the described embodiments contemplated for carrying out the invention. Various modifications, equivalents, variations, and alternatives, however, will remain readily apparent to those skilled in the art. Any and all such modifications, variations, equivalents, and alternatives are intended to fall within the spirit and scope of the present invention.
- For purposes of the description hereinafter, the terms “upper”, “lower”, “right”, “left”, “vertical”, “horizontal”, “top”, “bottom”, “lateral”, “longitudinal”, and derivatives thereof shall relate to the invention as it is oriented in the drawing figures. However, it is to be understood that the invention may assume alternative variations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification, are simply exemplary embodiments of the invention. Hence, specific dimensions and other physical characteristics related to the embodiments disclosed herein are not to be considered as limiting.
- Various point-of-care testing devices are known in the art. Such point-of-care testing devices include test strips, glass slides, diagnostic cartridges, or other testing devices for testing and analysis. Test strips, glass slides, and diagnostic cartridges are point-of-care testing devices that receive a blood sample and test that blood for one or more physiological and biochemical states. There are many point-of-care devices that use cartridge based architecture to analyze very small amounts of blood bedside without the need to send the sample to a lab for analysis. This saves time in getting results over the long run but creates a different set of challenges versus the highly routine lab environment. Examples of such testing cartridges include the i-STAT® testing cartridge from the Abbot group of companies. Testing cartridges such as the i-STAT® cartridges may be used to test for a variety of conditions including the presence of chemicals and electrolytes, hematology, blood gas concentrations, coagulation, or cardiac markers. The results of tests using such cartridges are quickly provided to the clinician.
- However, the samples provided to such point-of-care testing cartridges are currently manually collected with an open system and transferred to the point-of-care testing cartridge in a manual manner that often leads to inconsistent results, or failure of the cartridge leading to a repeat of the sample collection and testing process, thereby negating the advantage of the point-of-care testing device. Accordingly, a need exists for a system for collecting and transferring a sample to a point-of-care testing device that provides safer, reproducible, and more accurate results. Accordingly, a point-of-care collecting and transferring system of the present disclosure will be described hereinafter. A system of the present disclosure enhances the reliability of the point-of-care testing device by: 1) incorporating a more closed type of sampling and transfer system; 2) minimizing open exposure of the sample; 3) improving sample quality; 4) improving the overall ease of use; and 5) separating the sample at the point of collection.
-
FIGS. 1-7 illustrate an exemplary embodiment of the present disclosure. The biological fluid sampling transfer device of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation. Referring toFIGS. 1-7 , a biological fluidsampling transfer device 10, such as a blood sampling transfer device, of the present disclosure is adapted to receive a blood sample 12 (FIGS. 6 , 7, and 9) having a cellular portion 14 and a plasma portion 16. -
FIGS. 8-10 illustrate an exemplary embodiment of the present disclosure. Referring toFIGS. 8-10 , a biological fluid separation andtesting system 20, such as a blood separation and testing system, of the present disclosure for ablood sample 12 includes a bloodsampling transfer device 10 adapted to receive ablood sample 12, a blood separation device orcentrifuge 22, and a blood testing device or point-of-care testing device 24. Thecentrifuge 22 is adapted to receive a portion of the bloodsampling transfer device 10 such that with the bloodsampling transfer device 10 received within thecentrifuge 22 and a rotational force applied to the bloodsampling transfer device 10, a plasma portion 16 of theblood sample 12 is separated from a cellular portion 14 of theblood sample 12. Theblood testing device 24 is adapted to receive a portion of the bloodsampling transfer device 10 to analyze the plasma portion 16 of theblood sample 12 and obtain test results. - Some of the advantages of the blood sampling transfer device and the blood separation and testing system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to the point-of-
care testing device 24. The clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device 24 without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device 24 without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube. Also, the bloodsampling transfer device 10 of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation. - Referring to
FIGS. 1-7 , the bloodsampling transfer device 10 generally includes ahousing 30 having anupper portion 32 and alower portion 34 removably connectable to theupper portion 32. With thelower portion 34 connected to theupper portion 32, significant relative movement between theupper portion 32 and thelower portion 34 is prevented. Thehousing 30 defines acentral aperture 35 therethrough theupper portion 32 and thelower portion 34. A lancet structure orlancet device 60 is positioned within thecentral aperture 35 as shown inFIGS. 1-6 . Thehousing 30 includes alancet engagement portion 39 for securing thelancet structure 60 within thecentral aperture 35 as shown inFIGS. 5 and 6 . - The
upper portion 32 includes a dome-shapedsurface 36 and thelower portion 34 includes abottom surface 38. Referring toFIGS. 3 , 5, and 6, thebottom surface 38 includes an adhesive 54 so that the bloodsampling transfer device 10 can be secured onto a skin surface S of a patient where a blood sample will be accessed. In one embodiment, the adhesive 54 of thebottom surface 38 is protected by a peel-off layer, similar to an adhesive bandage, which would be removed before placing the bloodsampling transfer device 10 on the skin surface S of the patient's body. A hydrogel or other layer could be included to provide some thickness to thebottom surface 38 of thelower portion 34 and help improve the stability of the adhesive seal. Additionally, in one embodiment, the adhesive 54 could include a chemistry to create a more liquid-tight seal, similar to painter's tape technology, where wetting from the paint itself causes a chemical reaction with the adhesive 54 to create a more water-tight barrier to prevent the paint from seeping under the tape. - The
upper portion 32 is a resiliently deformable member that is transitionable between an undeformed position (FIGS. 3 and 6 ) and a deformed position (FIGS. 4 and 5 ) as will be discussed in more detail below. Theupper portion 32 is formed of a flexible material such that theupper portion 32 can be depressed by pressure applied by a user. After the pressure is removed, theupper portion 32 returns to its original or undeformed position and its domed-shape. In one embodiment, theupper portion 32 of thehousing 30 includes a vent orcheck valve 52 to allow air to be expelled upon depression of the dome-shapedupper portion 32. - Referring to
FIGS. 1-7 , thelower portion 34 of thehousing 30 of the bloodsampling transfer device 10 generally includes aninlet port 40 defined through thebottom surface 38 of thelower portion 34, anentry reservoir 42 in fluid communication with theinlet port 40, a flow channel or mixingchannel 44 in fluid communication with theentry reservoir 42, anexit reservoir 46 in fluid communication with theflow channel 44, an exit port oroutlet port 48 in fluid communication with theexit reservoir 46, a valve 50 (FIGS. 11 and 12 ) disposed in communication with theexit port 48, a ventingportion 51, and abutton portion 53. In one embodiment, the plasma portion 16 contained within theexit reservoir 46 of thelower portion 34 can be transferred through thevalve 50 to the point-of-care testing device 24 by pressing thebutton portion 53 of thelower portion 34 as discussed below. - The
lower portion 34 of thehousing 30 of the bloodsampling transfer device 10 is adapted to contain a sample stabilizer to provide passive and fast mixing of a blood sample with the sample stabilizer. The sample stabilizer, can be an anticoagulant, or a substance designed to preserve a specific element within the blood such as, for example, RNA, protein analyte, or other element. In one embodiment, the sample stabilizer is provided within theflow channel 44. In other embodiments, the sample stabilizer is provided in other areas of thelower portion 34 of thehousing 30 of the bloodsampling transfer device 10 such as theentry reservoir 42. - In one embodiment, the
flow channel 44 comprises a serpentine shape to promote efficient mixing of a blood sample 12 (FIGS. 6 , 7, and 9) having a cellular portion 14 and a plasma portion 16. As discussed below, ablood separation device 22 provides a rotational force applied to thelower portion 34 of thehousing 30 to separate the plasma portion 16 from the cellular portion 14 through theflow channel 44. In other embodiments, theflow channel 44 comprises other shapes to promote efficient mixing of a blood sample. - The
valve 50 is transitionable between a closed position (FIG. 11 ) to seal a plasma portion 16 of theblood sample 12 within theexit reservoir 46 of thelower portion 34 of thehousing 30 and an open position (FIG. 12 ) to allow a plasma portion 16 to flow through theexit port 48 to a point-of-care testing device 24 as shown inFIG. 10 . - Referring to
FIGS. 11 and 12 , the exit port oroutlet port 48 of thelower portion 34 of thehousing 30 of the bloodsampling transfer device 10 may include avalve 50 that is transitionable between a closed position and an open position. With thevalve 50 in an open position, the plasma portion 16 of theblood sample 12 may flow through theoutlet port 48 to a blood testing device or a point-of-care testing device 24 (FIG. 10 ). - In one embodiment, referring to
FIGS. 11 and 12 , thevalve 50 may generally include atransfer channel 90, a bellows ordeformable wall member 92, and a septum orbarrier 94 having afirst barrier wall 96 and asecond barrier wall 98. Referring toFIG. 11 , thevalve 50 is in a closed position to prevent the plasma portion 16 of theblood sample 12 from flowing through theoutlet port 48. In this manner, the plasma portion 16 is sealed within thelower portion 34 of thehousing 30 of the bloodsampling transfer device 10. Referring toFIG. 12 , thevalve 50 is in an open position so that the plasma portion 16 of theblood sample 12 may flow through theoutlet port 48 to a blood testing device or a point-of-care testing device 24 (FIG. 10 ). - Referring to
FIG. 11 , with the plasma portion 16 received within theexit reservoir 46 of thelower portion 34 of the bloodsampling transfer device 10, theoutlet port 48 of thelower portion 34 of the bloodsampling transfer device 10 is then positioned over a receivingport 26 of the point-of-care testing device 24. Pushing down in the direction of arrow B compresses thedeformable wall member 92 and opens up thefirst barrier wall 96 and thesecond barrier wall 98 of theseptum 94 as shown inFIG. 12 . With thevalve 50 in the open position, the plasma portion 16 of theblood sample 12 is allowed to flow through the receivingport 26 to the point-of-care testing device 24 in a closed manner reducing exposure to the clinician and the patient. - The
valve 50 of the bloodsampling transfer device 10 only opens when theoutlet port 48 is pressed upon the receivingport 26 of the point-of-care testing device 24. This releases the isolated plasma portion 16 directly into the receivingport 26 of the point-of-care testing device 24, thus mitigating unnecessary exposure to the patient's blood. - Referring to
FIGS. 1-6 , the bloodsampling transfer device 10 also includes a lancet orlancet structure 60 that may be secured within thecentral aperture 35 of thehousing 30. Thelancet 60 generally includes afirst end 100, a second end 102, a top or handleportion 104 adjacent thefirst end 100, a bottom orlancet portion 106 adjacent the second end 102, and ahousing engagement portion 108. Thehousing engagement portion 108 engages thelancet engagement portion 39 of the housing for securing thelancet 60 to thehousing 30 withincentral aperture 35 as shown inFIGS. 5 and 6 . Referring toFIGS. 5 and 6 , a portion of thelancet 60 is disposed within thehousing 30 of the bloodsampling transfer device 10. Thelancet portion 106 includes a puncturing element 110 having a puncturingend 112. The puncturingend 112 is adapted for puncturing the skin surface S of a patient (FIG. 5 ), and may define a pointed end, a blade edge, or a similar cutting mechanism. The puncturingend 112 may include a preferred alignment orientation, such as with a pointed end of a blade aligned in a specific orientation. - The
lancet 60 is adapted for movement between a pre-actuated position (FIGS. 3 and 6 ) wherein the puncturing element 110 including the puncturingend 112 is retained within thehousing 30 and a puncturing position (FIGS. 4 and 5 ) wherein the puncturingend 112 of the puncturing element 110 extends through theinlet port 40 of thehousing 30 to puncture a skin surface S of a patient to draw a blood sample as discussed in more detail below. - In one embodiment, the
housing 30 of theblood sampling device 10 may include a self-sealing dock that would allow an external lancet to be removably received within thehousing 30. The external lancet could be either pre-integrated into the packaged device or introduced separately by a user before using the bloodsampling transfer device 10 of the present disclosure. - Referring to
FIG. 8 , a blood separation device orcentrifuge 22 of the present disclosure generally includes a receivingport 120 adapted to receive thelower portion 34 of the bloodsampling transfer device 10 such that with thelower portion 34 received within thecentrifuge 22 and a rotational force applied to thelower portion 34, a plasma portion 16 of theblood sample 12 is separated from a cellular portion 14 of the blood sample 12 (FIG. 9 ). Thecentrifuge 22 includes a receivingport 120 adapted to receive thelower portion 34 of the bloodsampling transfer device 10, a base orbottom portion 122, atop portion 124 movably connected to thebase portion 122 by a hingedportion 126, and arotational force element 128 contained within thebase portion 122. Thetop portion 124 is transitionable between an open position in which thelower portion 34 of the bloodsampling transfer device 10 can be placed within the receivingport 120 as shown inFIG. 8 and a closed position. With thelower portion 34 of the bloodsampling transfer device 10 received within thecentrifuge 22, a rotational force is applied to thelower portion 34 of the bloodsampling transfer device 10 to separate the plasma portion 16 from the cellular portion 14 as described in more detail below. - Referring to
FIG. 10 , a blood testing device or point-of-care testing device 24 includes a receivingport 26 for receiving theoutlet port 48 of thelower portion 34 of thehousing 30 of the bloodsampling transfer device 10. Theblood testing device 24 is adapted to receive thelower portion 34 of thehousing 30 to analyze the blood sample and obtain test results. The receivingport 26 of the point-of-care testing device 24 allows for the closed transfer of a blood sample from thelower portion 34 of thehousing 30 to the point-of-care testing device 24. - Referring to
FIGS. 1-10 , use of a blood sampling transfer device of the present disclosure will now be described. Referring toFIGS. 3 and 6 , upon selecting a site, a clinician can adhere the adhesive 54 on thebottom surface 38 of thelower portion 34 of thehousing 30 onto a skin surface S of a patient where a blood sample will be accessed over a selected sampling site. - Referring to
FIGS. 3-6 , a user or an operator may then apply pressure to the dome-shapedsurface 36 of theupper portion 32 of thehousing 30 to actuate theupper portion 32 from the undeformed position (FIGS. 3 and 6 ) to the deformed position (FIGS. 4 and 5 ). Actuation of theupper portion 32 from the undeformed position (FIGS. 3 and 6 ) to the deformed position (FIGS. 4 and 5 ) moves thelancet 60 from the pre-actuation position (FIGS. 3 and 6 ) to the puncturing position (FIGS. 4 and 5 ) thereby causing the lancing of the skin surface S of the patient by the puncturingend 112 of thelancet 60 as shown inFIG. 5 . When theupper portion 32 of thehousing 30 is depressed, the puncturingend 112 of thelancet 60 cuts into the skin surface S of the patient's body and capillary blood begins to flow into theinlet port 40 of thehousing 30. - After lancing and release of the pressure for the lancing action, the domed shape of the
upper portion 32 begins to relax and returns to its original shape or undeformed position. This return of theupper portion 32 to its undeformed position creates a gentle vacuum during the process that helps to draw out the capillary blood through theinlet port 40 and to theentry reservoir 42 of thelower portion 34 of thehousing 30. - With the
upper portion 32 of thehousing 30 returned to its undeformed position and with theblood sample 12 received within theentry reservoir 42 as shown inFIG. 6 , the clinician can remove thelower portion 34 of thehousing 30 from theupper portion 32 as shown inFIG. 7 . When thelower portion 34 is removed from theupper portion 32, theentry reservoir 42 and theflow channel 44 of thelower portion 34 is sealed from the external environment. Additionally, with thelower portion 34 removed from theupper portion 32, the puncturingend 112 of thelancet 60 is contained within theupper portion 32 to shield the puncturingend 112. - Referring to
FIG. 8 , the next step of the process involves manual insertion of thelower portion 34 into a blood separation device orcentrifuge 22 designed specifically for thelower portion 34 of thehousing 30. Thecentrifuge 22 is designed to facilitate plasma separation by centrifugal force and to drive a blood sample through the mixingchannel 44 of thelower portion 34. Theblood sample 12 contained within thelower portion 34 is quickly spun in thecentrifuge 22 and due to the low volume is separated through the mixingchannel 44 of thelower portion 34 within a few seconds such that the plasma portion 16 is collected within theexit reservoir 46 of thelower portion 34. After separation, thelower portion 34 is removed manually from thecentrifuge device 22. - Thereafter, referring to
FIG. 10 , the collected plasma portion 16 of theblood sample 12 within theexit reservoir 46 of thelower portion 34 of the bloodsampling transfer device 10 is transferred to the receivingport 26 of the point-of-care testing device 24 to analyze the collected plasma portion 16 and obtain test results for tests such as glucose, cholesterol, or other blood sample results. Referring toFIG. 10 , the receivingport 26 of the point-of-care testing device 24 allows for the closed transfer of a portion of the plasma portion 16 of theblood sample 12 from thelower portion 34 to the point-of-care testing device 24. - In one embodiment, the plasma portion 16 of the
blood sample 12 within theexit reservoir 46 of thelower portion 34 is dispensed through thevalve 50 of theexit port 48 of thelower portion 34 into a well or receivingport 26 of the point-of-care testing device 24 to perform the desired test. In one embodiment, the plasma portion 16 is transferred through thevalve 50 to the point-of-care testing device 24 by pressing thebutton portion 53 of thelower portion 34. In another embodiment, thelower portion 34 can be connected to theupper portion 32 and actuation of theupper portion 32 from the undeformed position to the deformed position transfers the plasma portion 16 of theblood sample 12 from thelower portion 34 of the bloodsampling transfer device 10 to theblood testing device 24 via theoutlet port 48. - In one embodiment, the
entry reservoir 42 and/or flowchannel 44 of thelower portion 34 of thehousing 30 contains the sample stabilizer to promote efficient mixing with the blood sample. Referring toFIG. 5 , upon actuation of thelancet 60 to puncture the skin surface S, no or minimal blood will seep between the stick site and thehousing 30 of the bloodsampling transfer device 10, and, importantly, any seeped blood will not subsequently enter the bloodsampling transfer device 10. - Some of the advantages of the blood sampling transfer device and the blood separation and testing system of the present disclosure over prior systems are that it is a closed system which reduces blood sample exposure, it provides passive and fast mixing of the blood sample with a sample stabilizer, and it is capable of transferring pure plasma to the point-of-
care testing device 24. The clinician may collect and separate the blood sample and then immediately transfer the plasma portion to the point-of-care testing device 24 without further manipulation. This enables collection and transfer of plasma to the point-of-care testing device 24 without exposure to blood. Further, for tests which only require small amounts of blood, it eliminates the waste associated with blood collection and plasma separation with an evacuated tube. Also, the bloodsampling transfer device 10 of the present disclosure incorporates the concepts of lancing, blood collection, and blood separation. - While this disclosure has been described as having exemplary designs, the present disclosure can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the disclosure using its general principles. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this disclosure pertains and which fall within the limits of the appended claims.
Claims (20)
1. A biological fluid sampling transfer device, comprising:
a housing having a resiliently deformable upper portion, a lower portion removably connectable to the upper portion, the lower portion having an inlet port, an outlet port, and a flow channel, the inlet port and the outlet port in fluid communication via the flow channel, the upper portion transitionable between an undeformed position and a deformed position; and
a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing.
2. The biological fluid sampling transfer device of claim 1 , wherein the biological fluid sampling transfer device is adapted to receive a multi-component blood sample.
3. The biological fluid sampling transfer device of claim 2 , wherein the multi-component blood sample comprises a first cellular component and a second plasma component.
4. The biological fluid sampling transfer device of claim 2 , wherein the flow channel is adapted to receive the blood sample via the inlet port.
5. The biological fluid sampling transfer device of claim 1 , wherein actuation of the upper portion from the undeformed position to the deformed position moves the puncturing element from a pre-actuated position to a puncturing position.
6. The biological fluid sampling transfer device of claim 5 , wherein after the puncturing element moves to the puncturing position, the upper portion returns to its undeformed position and returns the puncturing element to the pre-actuated position.
7. The biological fluid sampling transfer device of claim 6 , wherein with the blood sample received within the flow channel, the lower portion is removable from the upper portion.
8. The biological fluid sampling transfer device of claim 1 , further comprising an adhesive disposed on an outside surface of the lower portion.
9. The biological fluid sampling transfer device of claim 1 , further comprising a check valve in the upper portion.
10. A biological fluid sampling transfer device adapted to receive a multi-component blood sample, the biological fluid sampling transfer device comprising:
a housing having a resiliently deformable upper portion, a lower portion removably connectable to the upper portion, the lower portion having an inlet port, an outlet port, and a flow channel, the inlet port and the outlet port in fluid communication via the flow channel, the flow channel adapted to receive the blood sample via the inlet port, the upper portion transitionable between an undeformed position and a deformed position; and
a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing,
wherein actuation of the upper portion from the undeformed position to the deformed position moves the puncturing element from the pre-actuated position to the puncturing position, and
wherein after the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the puncturing element returns to the pre-actuated position.
11. The biological fluid sampling transfer device of claim 10 , wherein with the blood sample received within the flow channel, the lower portion is removable from the upper portion.
12. The biological fluid sampling transfer device of claim 10 , further comprising an adhesive disposed on an outside surface of the lower portion.
13. The biological fluid sampling transfer device of claim 10 , further comprising a check valve in the upper portion.
14. A biological fluid separation and testing system for a multi-component blood sample, the biological fluid separation and testing system comprising:
a biological fluid sampling transfer device adapted to receive the blood sample, the biological fluid sampling transfer device comprising:
a housing having a resiliently deformable upper portion, a lower portion removably connectable to the upper portion, the lower portion having an inlet port, an outlet port, and a flow channel, the inlet port and the outlet port in fluid communication via the flow channel, the flow channel adapted to receive the blood sample via the inlet port, the upper portion transitionable between an undeformed position and a deformed position; and
a puncturing element, a portion of which is disposed within the housing and adapted for movement between a pre-actuated position wherein the puncturing element is retained within the housing and a puncturing position wherein the puncturing element extends through the inlet port of the lower portion of the housing,
wherein actuation of the upper portion from the undeformed position to the deformed position moves the puncturing element from the pre-actuated position to the puncturing position, and
wherein after the puncturing element moves to the puncturing position, the upper portion returns to the undeformed position and the puncturing element returns to the pre-actuated position; and
a blood testing device having a receiving port adapted to receive the outlet port of the lower portion of the housing of the biological fluid sampling transfer device for closed transfer of a portion of the blood sample from the biological fluid sampling transfer device to the blood testing device via the outlet port.
15. The biological fluid separation and testing system of claim 14 , wherein the blood testing device comprises a point-of-care testing device.
16. The biological fluid separation and testing system of claim 14 , wherein with the biological fluid sampling transfer device received within the receiving port of the blood testing device, actuation of the upper portion from the undeformed position to the deformed position transfers the blood sample from the biological fluid sampling transfer device to the blood testing device via the outlet port.
17. The biological fluid separation and testing system of claim 14 , wherein with the blood sample received within the flow channel, the lower portion is removable from the upper portion.
18. The biological fluid separation and testing system of claim 17 , further comprising a blood separation device, wherein with the lower portion removed from the upper portion, the lower portion is receivable within the blood separation device.
19. The biological fluid separation and testing system of claim 18 , wherein with the lower portion received within the blood separation device, the blood sample contained within the lower portion is separated.
20. The biological fluid separation and testing system of claim 14 , wherein a portion of the housing includes a sample stabilizer.
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BR112015026262B1 (en) | 2022-10-18 |
US9549700B2 (en) | 2017-01-24 |
CN203885509U (en) | 2014-10-22 |
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CA2909263A1 (en) | 2014-10-23 |
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JP6158426B2 (en) | 2017-07-05 |
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MX2015014485A (en) | 2016-02-05 |
CN104107057B (en) | 2016-08-17 |
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CN104107057A (en) | 2014-10-22 |
WO2014172246A1 (en) | 2014-10-23 |
BR112015026262A2 (en) | 2017-07-25 |
CA2909263C (en) | 2020-01-28 |
US20170095191A1 (en) | 2017-04-06 |
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